Ahmet Ziya ŞAHİN, Nurgül ÖZDEMİR, Şengül ŞAHİN, Bahadır DEMİR

Hemodiyaliz Hastalarında Uyku Kalitesinin Ölüm Kaygısı, Depresyon ve Ağrı Üzerine Etkisi

Amaç: Hemodiyaliz tedavisi gören Kronik Böbrek Hastalığı (KBH) olan hastalarda kötü uyku kalitesi, yaşam kalitesinin düşmesine neden olur. Bu çalışmada uyku kalitesi ile depresyon, ölüm kaygısı ve algılanan ağrı arasındaki ilişkinin araştırılması amaçlandı. Gereç ve Yöntemler: Bu kesitsel çalışmaya hemodiyaliz tedavisi gören toplam 101 KBH hastası dahil edildi. Değerlendirme araçları Beck Depresyon Envanteri (BDI), Ölüm Kaygısı Ölçeği (ÖKÖ), Pittsburgh Uyku Kalitesi İndeksi (PUKİ) ve Görsel Analog Ölçeği (VAS) idi. Bulgular: Hastaların yaş ortalaması 51.9±13.1 idi. Hastaların yüzde doksan beşinde PUKİ skoru 6 veya daha yüksek olup, bu da kötü uyku kalitesine işaret etmektedir. Hastaların %64,4'ü BDI açısından hafif ve şiddetli depresif belirtilere sahipti. PUKİ ile ÖKÖ (r = 0,382), VAS (r = 0,261) ve BDI (r: 0,483) arasında anlamlı ilişkiler görüldü. Sonuç: Hemodiyaliz hastalarında kötü uyku kalitesi yaygın bir sorundur. Ölüm kaygısı, ağrı ve depresyon, hemodiyaliz altındaki hastalarda yetersiz uyku ile ilişkilidir. Hemodiyaliz altındaki hastalara uygun tedavi sağlamak için düşük uyku kalitesinin göz önünde bulundurulması önerilir.

Anahtar Kelimeler:

Ölüm kaygısı, ağrı, uyku kalitesi, depresyon, hemodiyaliz

The Effect of Sleep Quality of Patients Under Hemodialysis on Death Anxiety, Depression and Pain

Background/Aims: Poor sleep quality in hemodialysis patients causes a decrease in quality of life. In this study we aimed to investigate the relationship between sleep quality, and depression, death anxiety and perceived pain. Methods: A total of 101 patients with chronic kidney disease (CKD) under hemodialysis were included in this cross-sectional study. The assessment tools were Beck Depression Inventory (BDI), Death Anxiety Scale (DAS), Pittsburgh Sleep Quality Index (PSQI), and Visual Analogue Scale (VAS). Results: The mean age of the patients was 51.9±13.1. Ninety six (95%) patients had a PSQI score of 6 or above that indicates poor sleep quality. 64.4% of the patients had mild to severe depressive symptoms in terms of BDI. There were significant correlations between PSQI and DAS (r: 0.382), and VAS (r: 0.261), and BDI (r: 0.483). Conclusion: Poor sleep quality is a common problem in hemodialysis patients. Death anxiety, pain and depression are associated with poor sleep in hemodialysis patients. It is recommended to consider poor sleep quality to provide appropriate treatment.

Keywords:

Death anxiety, pain, sleep quality, depression, hemodialysis,

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